1. Home
  2. Directory
  3. Illinois
  4. Long Grove
  5. Dentist
  6. NPI Profile

YIRAN XU DMD
NPI 1376127092
Dentist - Pediatric Dentistry in Long Grove, IL

Active since May 09, 2021PECOS Enrolled
4160 IL-83, STE 308, LONG GROVE, IL 60047(847) 634-6166 Get Directions Write a Review

NPPES record last updated: August 15, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 15, 2023, May 9, 2021 (2 updates tracked since 2021).

About Yiran Xu Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

YIRAN XU DMD (NPI 1376127092) is an individual pediatric dentistry provider in Long Grove, Illinois, licensed in Illinois (019.034076) and active in the NPI registry since May 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1376127092
Entity TypeIndividualMale
Primary Taxonomy1223P0221X
Provider Legal NameYIRAN XUCredential: DMD
Location Address4160 IL-83, STE 308Long Grove, IL 60047
Mailing Address20 York StNew Haven, CT 06510-3220 · (203) 688-4242
Phone(847) 634-6166
Sole ProprietorNo
Enumeration DateMay 9, 2021
Last NPPES UpdateAugust 15, 20232 updates tracked since enumeration
NPPES CertifiedAugust 11, 2023
✔ NPI 1376127092 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in IL · 019.034076
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
4160 IL-83, Long Grove, IL 60047
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Yiran Xu Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60047 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$93.02 typical visit price
range $59.81 – $181.38
Typical copayment $23.25 (range $14.95 – $45.34)
Most-billed visit code 99203
Established Patient
$74.38 typical visit price
range $19.15 – $147.12
Typical copayment $18.59 (range $4.78 – $36.78)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PRIYA KATWALA
Dentist (Pediatric Dentistry)
4160 IL-83, STE 308
LONG GROVE, IL 60047
Lake County (847) 634-6166
LONG GROVE DENTAL, PC
Dentist (General Practice)
4160 IL-83, 102
LONG GROVE, IL 60047
Lake County (847) 634-0808

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Yiran Xu's NPI number?

The NPI number for Yiran Xu is 1376127092. It was assigned to this individual provider in the NPPES registry on May 9, 2021.

Where is Yiran Xu located?

Yiran Xu practices at 4160 Il-83 Ste 308, Long Grove, IL 60047. The listed phone number is (847) 634-6166.

What is Yiran Xu's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Is Yiran Xu enrolled in Medicare?

Yes. Yiran Xu is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Yiran Xu was last updated on August 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.